Individual
DR. ELAINE S ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
515 BOOTH ST, KNOXVILLE, TN 37919-2306
(865) 522-5008
(865) 525-4026
Mailing address
1640 W CLINCH AVE, KNOXVILLE, TN 37916-2524
(865) 637-5848
(865) 525-4026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P966
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000018
BC-BS PROVIDER NUMBER
TN
05
—
3688052
—
TN
Enumeration date
02/22/2007
Last updated
07/09/2007
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